DR. KEVIN R GORDON (M.D.) – Obstetrics & Gynecology Physician, NPI 1871597666

DR. KEVIN R GORDON (M.D.) is a healthcare provider. based in Arlington, Texas. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. L1868 (TX). The NPI Number for DR. KEVIN R GORDON (M.D.) is 1871597666

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEVIN R GORDON (M.D.)
NPI
1871597666
Phone
(817) 468-3255
Address
505 OMEGA DR
Enumeration Date
9 June 2005
Last Update Date
3 November 2025

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
8174683255
Graduation Year
1997 (29 years ago)
PAC ID
4587734728
Group Practice PAC ID
9335188606
Professional Enrollment ID
I20101202000230
Address ID
TX760152954AR3201XRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

3,164 OBSTETRICS/GYNECOLOGY in TX

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Provider Addresses for DR. KEVIN R GORDON (M.D.)

  • Omega Drive, Arlington, Tarrant County, Texas, 76015, United States

    ARLINGTON, TX 760142004

    Phone: (817) 468-3255

    Fax: (817) 468-7823

    Type: Mailing

  • 3201 MATLOCK RD STE 350

    ARLINGTON, TX 760152954

    Phone: (817) 468-3255

    Fax: (817) 468-7823

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $37.

Total Amount is formed as General ($37) + Research ($0) + Ownership ($0) = $37.

Last reported payment date: 2024-09-11 • Largest payer in this snapshot: ConvaTec Inc. ($33).

Total Amount

$37

General + Research + Ownership

Payments

3

Total payment records

General Amount

$37

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-12-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101202000230IObstetrics/GynecologyTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit2929$0
81002Urinalysis, manual test2625$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination2222$0
99214Established patient office or other outpatient visit, 30-39 minutes1817$0
Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory1717$0
View full utilization report →

Insurance plans in this area (ZIP 76014)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9335188606View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YTX

Reviews

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Frequently asked questions

What is DR. KEVIN R GORDON (M.D.)'s NPI number?
DR. KEVIN R GORDON (M.D.)'s NPI is 1871597666 — the number used across U.S. healthcare to identify this provider.
Is DR. KEVIN R GORDON (M.D.) still an active registrant?
DR. KEVIN R GORDON (M.D.) carries an active NPI according to the public dataset.
What expertise is attributed to DR. KEVIN R GORDON (M.D.)?
DR. KEVIN R GORDON (M.D.)'s specialty line reads Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Is DR. KEVIN R GORDON (M.D.) located near Arlington?
DR. KEVIN R GORDON (M.D.) currently maps to Arlington, Texas in this extract.
When was this NPI issued?
Enumeration for DR. KEVIN R GORDON (M.D.) is noted as June 9, 2005 where the registry provides it.

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